Transition of Living Arrangement and Cognitive Impairment Status among Chinese Older Adults: Are They Associated?
<i>Background and Objectives:</i> Living arrangement is a crucial factor for older adults’ health. It is even more critical for Chinese older adults due to the tradition of filial piety. With the aging of China’s population, the prevalence of cognitive impairment among older adults has i...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-09-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/57/9/961 |
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| author | Yen-Han Lee Chia-Hung Lin Jia-Ren Chang Ching-Ti Liu Mack Shelley Yen-Chang Chang |
| author_facet | Yen-Han Lee Chia-Hung Lin Jia-Ren Chang Ching-Ti Liu Mack Shelley Yen-Chang Chang |
| author_sort | Yen-Han Lee |
| collection | DOAJ |
| description | <i>Background and Objectives:</i> Living arrangement is a crucial factor for older adults’ health. It is even more critical for Chinese older adults due to the tradition of filial piety. With the aging of China’s population, the prevalence of cognitive impairment among older adults has increased. This study examines the association between living arrangement transition and cognitive function among Chinese older adults. <i>Materials and Methods:</i> Using three waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS; 2008–2009, 2011–2012, and 2014), we analyzed data for older adults (age ≥ 65) who lived with other household members and reported good cognitive function or mild cognitive impairment when they participated in the survey. Multistate Cox regression was employed to study changes in cognitive function. <i>Results:</i> Older adults who transitioned to living alone had lower risk of cognitive impairment (hazard ratio (HR) = 0.66, 95% CI: 0.52, 0.83; <i>p</i> < 0.01), compared with those who continued to live with other household members. Moving into an institution was also not associated with cognitive impairment. <i>Conclusions:</i> With older adults’ transition to living alone, public health practitioners or social workers might educate them on the benefits of such a living arrangement for cognitive function. |
| first_indexed | 2024-03-10T07:28:33Z |
| format | Article |
| id | doaj.art-f52a3ac338ba4114aa1718c84d9e24b4 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-10T07:28:33Z |
| publishDate | 2021-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-f52a3ac338ba4114aa1718c84d9e24b42023-11-22T14:08:57ZengMDPI AGMedicina1010-660X1648-91442021-09-0157996110.3390/medicina57090961Transition of Living Arrangement and Cognitive Impairment Status among Chinese Older Adults: Are They Associated?Yen-Han Lee0Chia-Hung Lin1Jia-Ren Chang2Ching-Ti Liu3Mack Shelley4Yen-Chang Chang5Department of Public Health and Sports Medicine, McQueary College of Health and Human Services, Missouri State University, Springfield, MO 65897, USADepartment of Nursing, Taipei Veterans General Hospital, Taipei City 112, TaiwanDepartment of Nursing, Taipei Veterans General Hospital, Taipei City 112, TaiwanDepartment of Biostatistics, School of Public Health, Boston University, Boston, MA 02118, USADepartment of Political Science, Iowa State University, Ames, IA 50011, USACenter for General Education, National Tsing Hua University, Hsinchu City 300, Taiwan<i>Background and Objectives:</i> Living arrangement is a crucial factor for older adults’ health. It is even more critical for Chinese older adults due to the tradition of filial piety. With the aging of China’s population, the prevalence of cognitive impairment among older adults has increased. This study examines the association between living arrangement transition and cognitive function among Chinese older adults. <i>Materials and Methods:</i> Using three waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS; 2008–2009, 2011–2012, and 2014), we analyzed data for older adults (age ≥ 65) who lived with other household members and reported good cognitive function or mild cognitive impairment when they participated in the survey. Multistate Cox regression was employed to study changes in cognitive function. <i>Results:</i> Older adults who transitioned to living alone had lower risk of cognitive impairment (hazard ratio (HR) = 0.66, 95% CI: 0.52, 0.83; <i>p</i> < 0.01), compared with those who continued to live with other household members. Moving into an institution was also not associated with cognitive impairment. <i>Conclusions:</i> With older adults’ transition to living alone, public health practitioners or social workers might educate them on the benefits of such a living arrangement for cognitive function.https://www.mdpi.com/1648-9144/57/9/961living arrangementcognitive functionolder adultsChinamultistate survival analysis |
| spellingShingle | Yen-Han Lee Chia-Hung Lin Jia-Ren Chang Ching-Ti Liu Mack Shelley Yen-Chang Chang Transition of Living Arrangement and Cognitive Impairment Status among Chinese Older Adults: Are They Associated? Medicina living arrangement cognitive function older adults China multistate survival analysis |
| title | Transition of Living Arrangement and Cognitive Impairment Status among Chinese Older Adults: Are They Associated? |
| title_full | Transition of Living Arrangement and Cognitive Impairment Status among Chinese Older Adults: Are They Associated? |
| title_fullStr | Transition of Living Arrangement and Cognitive Impairment Status among Chinese Older Adults: Are They Associated? |
| title_full_unstemmed | Transition of Living Arrangement and Cognitive Impairment Status among Chinese Older Adults: Are They Associated? |
| title_short | Transition of Living Arrangement and Cognitive Impairment Status among Chinese Older Adults: Are They Associated? |
| title_sort | transition of living arrangement and cognitive impairment status among chinese older adults are they associated |
| topic | living arrangement cognitive function older adults China multistate survival analysis |
| url | https://www.mdpi.com/1648-9144/57/9/961 |
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